Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05603 | Date 06/11/2023 |
| Token No | SM/25-26/22687 28/10/2026 | Serial | 004 |
| Patient Name | Mrs. LATIKA DEBNATH | Contact No | 7439011228 |
| Address | 34/B/52 B B GHOSH ROAD SERAMPORE 712203 | Age | 53 Years,9 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 149/76 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||